Provider Demographics
NPI:1629443890
Name:GURLEY, NICOLAS ALEXANDRE (LMHC)
Entity Type:Individual
Prefix:MR
First Name:NICOLAS
Middle Name:ALEXANDRE
Last Name:GURLEY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:228 PARK AVE S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1502
Mailing Address - Country:US
Mailing Address - Phone:917-678-7808
Mailing Address - Fax:212-584-5450
Practice Address - Street 1:598 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3351
Practice Address - Country:US
Practice Address - Phone:212-966-9537
Practice Address - Fax:212-584-5450
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY007502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health